[0001] The present invention relates to a system for the administration by infusion of substances
such as, for example, drugs or food supplements, the system being as specified in
the preamble of Claim 1.
[0002] When administering active substances or solutions of active substances such as, for
example, drugs or food supplements, which in the rest of this description will for
simplicity's sake be termed active substances, by infusion, it is normal practice
to use sterilized bags previously filled with injectable solutions for infusion into
a patient. These bags have two openings on their lower edge into which two tubes are
inserted; through the first of these tubes, the active substances are transferred
from a storage container to the bag where they are mixed with the injectable solution.
If the active substances contained in the storage container are, for instance, powders,
some of the liquid contained in the bag is squeezed out of the bag into the container
where it is used to dissolve the solid substances, after which the resulting solution
is passed back into the bag, making use of the increased pressure created in the container.
[0003] It is through the second tube that the resulting solution, which in the rest of this
description will be described as the final solution, is administered to the patient.
[0004] To perform the first stage, that is, transferring the active substances from the
storage container into the bag containing the injectable solution, the tube intended
for this operation is normally provided, at its free end, with a point having a plurality
of holes, which point is positioned centrally inside connector means comprising a
female component designed to fit exactly around the neck (the male component) of a
container of active substances that are to be transferred into the bag containing
the injectable solution. When performing this operation, the female component containing
the point is pushed home over the neck of the container; the point simultaneously
perforates an elastomeric plug normally used to seal containers of active substances
and emerges on the inside of the latter. The system is then simply inverted and the
active substance is transferred from the container to the bag, through the abovementioned
point and tube.
[0005] However, there is a problem with the system described above which cannot be ignored:
since the connector component has to fit exactly around the neck of the container,
it must be produced in many shapes and sizes, making it necessary to keep a different
infusion system for each type of container. The significance of this problem will
be understood when it is considered that a great many active substances are administered
by infusion and that they are distributed in containers made in an enormous variety
of shapes and sizes.
[0006] Because these active substances are in daily use by hospital and clinical staff,
these staff have to keep permanent supplies of the various transfer devices for the
various containers of active substances. Nor should it be forgotten that very often
these active substances have to be administered to patients in critical situations
in which the person giving emergency aid cannot afford to waste time searching about
for a bag with suitable transfer means.
[0007] The problem with which the present invention deals is, therefore, how to provide
a system for the administration of active substances by infusion that can be used
independently of the size and shape of the neck of the container in which the active
substance is stored and distributed by pharmaceutical companies, and which therefore
solves the above problems.
[0008] The problem is solved by a system for the administration of active substances by
infusion as specified in the preamble of Claim 1 and having the features claimed in
the characterizing part of Claim 1.
[0009] The system according to the invention advantageously possesses the features claimed
in the dependent claims that follow.
[0010] Various preferred embodiments of the present invention will now be described, with
reference to the accompanying figures in which:
Figure 1 is a perspective view in partial section of a system for the administration
of active substances by infusion according to the present invention ,
Figure 2 is a detail of the system depicted in Figure 1, showing how the active substance
is transferred from the storage container to the bag for the final solution according
to the present invention,
Figure 3 shows a detail of another embodiment illustrating the connector plate and
tubular perforator that fit onto the end of the tube through which the active substance
is transferred, by screw means, and
Figure 4 shows a detail illustrating an alternative embodiment of the fastening and
flow-prevention means.
[0011] With reference to Figures 1 and 2, the system for administering active substances
by infusion, which has the general reference 1, comprises a bag 2 having two openings
3 and 4 formed in its lower edge, a plate 5 of preferably circular shape containing
a central hole 6 in which there is force-fitted a tubular perforator 7 having a point
8 at one end provided with a plurality of holes, of which there are two labelled 9
in this example, and barbed fastening means 23, the barbs being formed, in this example,
by two pairs of projections 29 on opposite sides. In an alternative form, the plate
5 can be made in one piece with the tubular perforator 7, for example by injection
moulding.
[0012] The point 8 of the tubular perforator 7 projects from one side of the plate 5, while
an end 15 of the tubular perforator 7 projects from the other. This end 15 is a connector
component for a tube 10 that allows fluid communication between the tubular perforator
7 and the bag 2. The point 8 of the tubular perforator 7 and the side of the plate
5 from which it projects are protected by a cap 11, made of a soft plastic material
and of a generally pointed shape with one end open. The open end of the cap is suitably
shaped and contains an annular groove 12 which fits tightly around the edge of the
plate 5.
[0013] One especially simple embodiment dispenses with the plate 5 and, by way of an abutting
member, exploits the fact that the diameter of the end 15 of the tubular perforator
7 is smaller than the external diameter of the tube 10, the former being inserted
in the latter. The ring represented by the thickness of the tube 10 that surrounds
the end 15 of the tubular perforator 7, thus assumes the function of the abutting
member in place of the plate 5.
[0014] The tube 10 comprises two portions 13 and 14 connected by a connector component 16
which includes flow prevention means 17. The flow prevention means, which include
a breakable line that can be broken to allow fluid communication between the bag 2
and the tubular perforator 7, extend into the interior of the portion 14 of the tube
and prevent any passage of fluid through the connector 16, thus isolating the bag
2 from the tubular perforator 7. By this means the sterility of the injectable solution
contained in the bag 2 during its storage is guaranteed.
[0015] As an alternative, the flow prevention means 17 are made in one piece with the tubular
perforator 7, as illustrated in Figure 4, in which case they once again include a
breakable line and are essentially elongate. In this embodiment, the connector 16
is no longer necessary and the tube 10 can be formed in one segment.
[0016] The portion 14 of the tube 10 also possesses means 18 for pinching the tube: these
consist of a clip which can be used to cut off the flow of active substance between
the tubular perforator 7 and the bag 2 from the outside at any moment.
[0017] The bag 2 is placed in fluid communication with the patient via the opening 4 and
a tube 19, to the free end of which a needle (not shown) is fitted for administering
the final solution to the patient. Like the tube 10, the tube 19 is also divided into
two portions connected by a connector component (not shown) identical in every respect
to the connector component 16 described earlier, in order to keep the bag 2 isolated
from the external environment for the reasons cited earlier.
[0018] When the system according to the invention is to be used, the breakable line of the
flow prevention means 17 is broken and, by keeping the system inverted to prevent
the escape of the injectable solution from the bag, the fluid connection between the
tubular perforator 7 and the bag 2 is thus opened. At this point the cap 11 is detached
from the edge of the plate 5 and the tubular perforator 7 is immediately used to perforate
a perforable plug 20 of elastomeric material and of predetermined thickness, which
seals a container 21 used to store the active substance prior to administration. The
tubular perforator 7 of the system is introduced into the fluid until the plate 5
is in abutment against the plug 20. The system is then inverted and, as illustrated
in Figure 2, the active substance begins to flow through the holes 9 into the tubular
perforator 7 and then through the tube 10 into the bag 2. The two pairs of projections
29 on opposite sides of the point 8 keep the tubular perforator 7 engaged inside the
container 21, so that the container 21 cannot be accidentally disconnected from the
bag 2.
[0019] On completion of the transfer, the tube 10 is pinched off by the tube pinching means
18, leaving the container 21 suspended from the tube 10. At this point, after briefly
homogenising the active substance and the injectable solution in the bag, the final
solution can be administered to the patient; to this end the flow prevention means
blocking the tube 19 are broken and the solution is injected into the body of the
patient.
[0020] A variant of the embodiment described immediately above is illustrated in Figure
3. Mounted on the end of the tube 10, that is the end intended for connection to the
plate 5, is a first connector 24, preferably female. This connector is intended for
connection to a corresponding second connector 25, which in the preferred case is
male: this connector 25 is integral with the tubular perforator 7. The latter, exactly
as in the first embodiment, possesses at one end a point 8 that projects from one
surface of the plate 5, which point 8 and an opposing end (not shown), serve as a
connector component designed to be connected with the corresponding end of the tube
10.
[0021] The tubular perforator 7 is fitted with a cap (not shown) and also with a diaphragm
26 to seal off the end 15 of the male component of the screw coupling; the diaphragm
26 is of course removed immediately before the connectors 24 and 25 are joined together.
[0022] As an alternative it is obviously possible to form the screw coupling by reversing
the positions of the male and female components, so that the end of the tube 10 has
a male connector and the tubular perforator 7 has a female connector.
[0023] Another embodiment is illustrated in Figure 4. The point 8 of the tubular perforator
7 comprises a self-tapping thread 28 around an axial portion of itself designed to
engage with the thickness of the plug 20 of the storage container 21. The tubular
perforator 7 is therefore screwed through a half revolution into the plug 20 to secure
it to the container 21.
[0024] The system according to the present invention has the advantage of being usable with
containers of all shapes and sizes and can therefore be bought in large quantities
by hospitals or clinics for carrying out infusions of practically all the active substances
available on the market.
[0025] The presence of the abutment situated at a precise distance from the holes 9 of the
tubular perforator 7 also makes it possible to position them in the ideal position
inside the container (close to the plug) and hence to transfer a quantity of the active
substances from the storage container to the bag.
[0026] The embodiment which dispenses with the plate 5 and uses the ring formed by the thickness
of the tube 10 as the abutting member, has the particular advantage of being extremely
simple and hence allows the manufacturing costs of the entire system to be considerably
reduced.
[0027] The embodiment that uses a screw coupling between the tube 10 and the tubular perforator
7 has the additional advantage of supplying the two parts separately so that, should
the point or other parts of the system be broken or contaminated as a result, for
example, of inattention of the user during the various operations that precede the
administration of the final solution to the patient, with this embodiment only one
of the two parts need be replaced, rather than the whole system, thus reducing wastage
of materials and money.
[0028] A person skilled in the art will be able to make many modifications and alterations
to the system for the administration of solutions by infusion as described above,
in order to satisfy additional particular needs, without however departing from the
scope of the invention.
1. System for the administration by infusion of liquid or dissolved active substances
kept in a storage container (21) fitted with a perforable plug (20) of predetermined
thickness, comprising a bag (2), a tubular perforator (7) and a tube (10), said bag
(2) containing an injectable solution for infusion into a patient and comprising at
one end an opening (3), which tubular perforator (7) extends mostly along its longitudinal
axis and is provided at one end with a point (8) for perforating said plug (20) and
having holes (9) for the transfer of said active substances from said storage container
(21) to said bag (2) to form a final infusion solution, which tube (10) comprises
internal flow prevention means (17) that include a breakable line that can be broken
to allow fluid communication between said bag (2) and said tubular perforator (7)
through said opening (3) and said tube (10), the system being characterized in that
it comprises an abutting member (5) projecting from said tubular perforator (7) transversely
to the longitudinal axis and intended to abut against said plug (20), said abutting
member (5) being positioned at a predetermined distance from said holes (9) in order
that they are correctly positioned during said transfer, in addition to having fastening
means (23) operating between said tubular perforator (7) and said plug (20) of said
storage container (21).
2. System according to Claim 1 characterized in that said abutting member (5) is a plate
integral with said tubular perforator (7).
3. System according to Claim 1 or 2, characterized in that said fastening means (23)
include said tubular perforator (7), said tubular perforator (7) being barbed.
4. System according to Claim 1 or 2, characterized in that said fastening means (23)
include a self-tapping thread (28) formed on an axial portion of said tubular perforator
(7) that is intended to engage with the thickness of said plug (20) of said storage
container (21).
5. System according to one of Claims 2 to 4, characterized in that said plate (5) is
provided with a central hole (6) in which said tubular perforator (7) is force fitted.
6. System according to one of Claims 2 to 4, characterized in that said plate (5) is
made in one piece with said tubular perforator (7).
7. System according to one of Claims 2 to 6, characterized in that said plate (5) is
circular.
8. System according to one of Claims 2 to 7, characterized in that said plate (5) is
integral with a first connector (24) situated at the end of said tube (10), and said
tubular perforator (7) is integral with a second connector (25), said first connector
(24) and said second connector (25) being designed to screw together.
9. System according to Claim 8, characterized in that said first connector (24) is a
female component and in that said second connector (25) is a male component.
10. System according to any one of the previous claims, characterized in that said flow
prevention means (17) are made in one piece with said tubular perforator (7).